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Case Rep Vasc Med. 2011;2011:486187. doi: 10.1155/2011/486187. Epub 2011 Dec 11.

Coronary anomaly and coronary artery fistula as cause of angina pectoris with literature review.

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  • 1Seton Hall Cardiology Fellowship Program, St. Joseph Regional Medical Center, Seton Hall University 703 Main Street, Paterson, NJ 07503, USA.


Coronary artery fistulas are rare anomalies of the coronary arteries that may sometimes cause symptoms by shunting blood flow away from the myocardial capillary network. We report the case of a 46-year old lady which shows the right coronary cusp giving rise to left main coronary artery called anomalous origin of a coronary artery (AOCA), and also a fistula between the left coronary artery and pulmonary artery. We describe our diagnostic approach and review the literature on the epidemiology, pathophysiology, the diagnostic modalities, and treatment options.

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